Series V Products
Comprehensive Insurance Plans
Are you looking for a comprehensive coverage health insurance plan that you can customize to suit your needs and budget? If so, one of our Series V Products is right for you. These health insurance plans offer you a comprehensive package of benefits to meet your needs now and in the future.
Our Series V Products include:
- PPO Select® Blue Advantage Series V (policy form # PPO-SELBLUE-ADV-5-1),
- PPO Select® Choice Series V (policy form # PPO-SELCHOICE-5-1) and
- PPO Select® Saver Series V (policy form # PPO-SELSAVER-5-1).
Key coverage and health insurance plan features include:
- Inpatient hospitalization services
- Medical and surgical expenses
- Preventive care, such as routine physicals, immunizations, diagnostic tests and more
- Three-tier prescription drug program
- 24-Hour Worldwide Care
- 100% coverage in or out of network for childhood immunizations up to age 8.
- Access to one of the largest provider networks in Texas, BlueChoice®
BlueChoice® Network: The BlueChoice® network allows you to save on premiums and the cost of covered services when you use a contracting BlueChoice® hospital, doctor or specialist. You do not need to select a primary care physician or obtain a referral to see a specialist.
A Series V health insurance plan may be right for you if you are an individual or family who:
- Seeks coverage comparable to that of an employer
- Seeks the flexibility to meet your individual needs, family situation and budget, not a “pre-packaged, one-size-fits-all” health insurance plan
- Wants a choice of deductibles and coinsurance maximum levels to help control premium costs
- Regularly visits a doctor
- Needs coverage for prescription medication
We offer three Series V Products that provide different levels of out-of-pocket expense limits, deductibles, coinsurance and network coverage to allow you to select the health insurance plan that best meets your budget. Compare the coverage to find the one that's right for you.
Learn more about valuable member services and features you get when you join the Blue Cross and Blue Shield of Texas family.
- Individual deductibles for individuals ranging from $250 to $10,000*
- Individual maximum out-of-pocket is $3,000*
- Family deductibles ranging from $750 to $30,000*
- Family maximum out-of-pocket costs ranging from $6,000-$9,000*
- Office visits—copayments ranging from $25 up to 75 percent of allowable amount after deductible
- Coinsurance—you pay 15–25 percent and the health insurance plan pays 75–85 percent*
- To see what your monthly payments would be, get a quick quote.
For more information on costs, including out-of-pocket costs, see the Outline of Coverage documents under What's Included with Series V Products — More Health Insurance Plan Details.
* Represents estimated cost range for in-network coverage only. Out-of-network coverage costs can be significantly higher. Your greatest coverage and savings are realized when you use the services of participating providers within the network.
- Series V Products pays 75–85 percent and you pay 15–25 percent of covered expenses, after you meet your deductible
- Doctor's office visits covered 75–100 percent after $25 copayment or deductible, depending on the health insurance plan you choose
- Easy claims processing—no forms to file in most cases
- BlueCard® PPO benefits
More Health Insurance Plan Details
It's important to know the features of the health insurance plan you are considering. Our Outline of Coverage documents give you brief descriptions of the basic details of our Series V Products, as well as details on renewability, exclusions and limitations.
You can customize any Series V health insurance plan with the following option:
Optional Dental Coverage
- Coverage can be used to provide dental benefits to an individual, spouse, children or any combination of dependents.
- A $50 deductible, based on fee schedule allowances, applies for dental procedures or services received by a covered individual during each benefit year.
- Maximum deductible amount of $150 for family coverage
- Learn more about optional dental coverage
- Prescription drug coverage is included with Series V Products.
- Copayments for prescription drugs vary based on the health insurance plan options you choose.
- If you take medications for birth control, high blood pressure, cholesterol or other long-term needs, you can also receive up to a 90-day supply at retail. In some cases, you'll pay less for the same amount of medication than at a retail pharmacy.
- View the individual health insurance plan Preferred Drug List
to see if your prescriptions are included. - Prescription Drug Utilization/Benefit Management Programs for policies with effective dates on or after 3/1/2012. See Compare Plans Chart for more information.
